Profound Intraoperative Hypotension Associated with Transfusion via the Belmont Fluid Management System

Joanna Miller, Sang Kim, Dieter Adelmann, Bryan Hill, Nicolette Schlichting, Natalie Smith, Samuel Demaria, Jeron Zerillo

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

This retrospective observational case series conducted at 2 large academic centers over a 4-year period consists of 15 cases of profound hypotension in surgical patients immediately after initiation of the Belmont Fluid Management System for rapid transfusion of blood products. Halting the infusion and administering vasoactive agents led to resolution of hypotension. Repeat transfusion with the Belmont system resulted in repeat hypotension unless counteracted with vasopressors. No etiology was elucidated. This represents the largest documented association of acute hypotensive transfusion reaction with any rapid infusion system in surgical patients.

Original languageEnglish
Pages (from-to)E77-E82
JournalAnesthesia and Analgesia
Volume129
Issue number3
DOIs
StatePublished - 1 Sep 2019

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